Biceps Rupture with a Positive Hook Test!
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- เผยแพร่เมื่อ 22 ก.ย. 2020
- With @OrthoEvalPal I show you a Real Biceps Rupture with a Positive Hook Test! I talk about the mechanism of injury, I evaluate his arm and discuss the signs and symptoms.
Be sure to check out my Hook Test video: • Hook Test- For Distal ...
Here is a patient with a Proximal Biceps Rupture: • Biceps Rupture Evalua...
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#DistalBicepsRupture #ForearmPop #OrthoEvalPal #ForearmPain
Art might live the rest of his days like this......(Art) - The hell I am.
ART IS 70...... I AM ONLY 44. I CAN NOT LIVE LIKE THIS
A genuine thanks, I had concern that I potentially ruptured and I would have no way to deal with that without insurance 😬
I have experienced bilateral distal bicep tendon ruptures & surgical repairs. Left bicep ruptured opening a house window. and 5 years later the Right distal bicep ruptured doing repetitive lifting of returned Ballot Boxes in the 2020 NC Election. Fortunately, Medicare allowed me to have the surgery!
What were your symptoms both times, bruising and swelling, level of pain? Approximate how much time later did you get the surgery done after injury?
How’s the recovery ?
Thanks for knowledge
Saying “his remaining days” was unintentionally mean
Mean?
@@dominicgazotti5726means evil or bad.
What's wrong, it's fax😂
Thanks for information
Thanks for the video I had a distal tear two years ago but ligaments are still attached is there any exercise or vitamins that can strengthen them
great video!
Tore mine in the same area six months ago . Hurt like hell when I did it n black n blue also . Left arm is very weak now even just showering . It was a freak accident that did it .
Thank you! I did the same and you explained very well! I just did this over the weekend and had the same bruising as I see on other pages and was wondering how to figure it all out before going to the doc or hospital this is severely painful! And I can’t feel my hand either but my shoulder is also involved . You def explained this incredibly well. Wish others were so detailed and used friendly words .
did it get better?
did it get better?
bro died 💀
@@HeyIntegrity bro dead 💀
💀💀💀💀💀😂😂
thank you!
Thanks. One of the best videos I've seen on this. Been thinking I had a rupture tear but I don't have the Bicep movement of your patient. Just frequent flares up of the distal area. Wait.. I think I just confused myself now. Ha. I HAVE tried to contact physicians close by but they're closed due to Covid or just plain don't respond back.
did it get better?
@@HeyIntegrity Yeah. I saw a sports medicine doc. He had me do stretches with resistant bands and after weeks it worked itself out.
hope you recovered well art 👍
He recovered very well. Just lives down the street from me and is building a garage.
I have a simular problem ..but I had the shingles on the left inner arm about 5 years ago...and at that time I had lower biceps pains right at that area ...I'm back at the gym lifting weights and trying to built up my right lower biceps muscle ..I lift weights for many years but not super extreme ...could this problem be related to the shingles I had ? Can I use weight lifting to bring back my right lower bicep muscle ? My left side is perfect the right lower bicep muscle moved up about one inch more or less.....I've been training normal with different biceps exercises included ....any recommendations ? I've been a diesel mechanic and tile setter for many years so I'm constantly using my arms working or at the gym.... Thank you, Dirk
Hello, this is more of a question, the day after I worked out I noticed a muscle knot right above my forearm where when you go to the doctor they take blood from that area, and when I bend my arm the knot sort of goes backwards towards my bicep and basically disappears, it's what guy described having, has anybody ever heard of this before? If so what is it?
I just found out that's exactly what I have on my right arm, I don't know how or when it happened; the pain started about 3 month ago, I thought it was just arthritis pain during cold weather, but it got worse the last month, and I finally noticed a bump on the painful area. I hope I don't need surgery.
I snapped my distal bicep so hard it almost made me fall over initially when it rolled up my arm...now it just feels like a constant cramp ... as a young man this hurts to watch because I feel like it will never be the same again .
How’s the recovery going ?
@@TheSantos173 it's going . Thanks for asking he wasn't able to re -attach my bicep the traditional way because the tissue was to torn and frayed so he attached it to the muscle on the back side of my arm with cadaver tissue somehow now I'm Mr. Patato head science experiment 😂
@@cupwalker24.7 did you hear a snap when it first happened? How long did you get surgery since injury? Do you think I would know if I did snap my distal bicep rather than just tear?
@@TheSantos173 it was very noisey outside when I snapped mine but I seen it kinda creepy my bicep slowly rolled up my arm stayed there and left a large divet. I waited one month to get surgery or longer .....far to long . (Because I wanted to race one more time before I had surgery😂) the only way to tell is do what they call a Hook test . You should be able to dig your finger into the crack of your arm and feel a definite hook that bony feeling thing haha .
@@cupwalker24.7 i gotcha. Yeah man this just happened to me last night. I did the hook test and it’s like there’s something there but at the same time not. Gonna get MRI tonight 😓
I fell from an elevated part of my garden and reached out to save myself and felt my left arm go, I am 66 and a diabetic so will live the rest of my life like this.
All the best Sir
Thanks
Doc I have the exact same injury in the same arm. How can I repair it, as I do not like the way it looks and would like to resume mix martial arts, the pain really starts when I try to do pull-ups.
Shit this happened to me yesterday........ absolutely nothing on the hook test
I’ve been trying to do workouts, one time I heard popping in my shoulder and then didn’t lift for a couple of months. I lifted light a couple days ago and never heard a pop but when I woke up in the morning I’m not able to straighten both of my arms. It hurts to straighten my arms, hold anything, touch my bicep. It starts from my bicep and goes down to my elbow. Any ideas of what this could be?
i detached my bicep at 26 years old and haven't had it fixed cuz no one wanted to do it. I'm 35 now and am starting to get chronic pain every day in the bicep area. is there a doctor to do some kind of surgery where they replace the detached bicep with a cadaver one?
Well there you go! Found someone like me. Happened to me in 2009! They told me the biceps ripped away in 3 points. I've lost 40 percent strength. But they say it's not worth while doing an operation except for aesthetic appeal... It bothers me because I was 42 at the time. My arm completely filled with blood. It was like hearing 3 big cable snaps as it happened during a sporting event.... But I can't say I felt or remember any excessive pain or trauma except being annoyed with the outcome
That sounds pretty classic.
@@OrthoEvalPal I was hoping an operation was possible and feasible... Do you have any thoughts doctor?
@@sifpaulfernandezthewingchundao at this stage I don’t think surgery would be successful but you should definitely talk to a shoulder surgeon about it if you wanted to get it fixed
when did you consult for surgery? how come they couldn't fix it? when did the pain stop after you tore it?
@@HeyIntegrity I have to be honest I never suffered much pain if any
excellent
I had a full bicep tear that required surgery. My bicep was barely pulled up my arm & I could do the hook test & feel resistance. The Dr said he didn't think it was a complete tear. Then the MRI result came back to show it was a complete tear.
I had the same. Boxing and felt a horrible pain throwing a slap hook. It bruised very little the next day and just looked a bit different. Hook test was good but doc went in and repaired it anyway. Been good for years now.
Hello doctor I did distal biceps surgery but there is still a gap between my lower biceps and my elbow is that normal ?
thanks
You bet!
how to differentiate with partial tear?
Just injure my biceps 💪 20 minutes ago, that’s hurt like hell....I am falling apart like the Mona Lisa with the injuries I am getting now.
oh no! be sure to get it checked out.
I suspect something is wrong with my right bicep. From what I can gather from this video, it is not a distal bicep rupture, but the bicep bulges outward. I will be having rotator cuff surgery within the next month to month and a half.
It could mean alot of thing. Since its bulging outwards, you could have an overdevelopped bicep long head. But if it isnt it is potential you did tore your bicep. Whatever it is it never hurts to check on the doctor.
Is it possible to experience age discrimination when it comes to surgery? I think so, I'm experiencing it now. I have a short head bicep tear, I have seen two orthopedic surgeons so far, I am 62 years old and I can read between the lines, each doctor's goal was to talk me out of any surgery. They recommend rehab and just living with it. I can still be active (they encourage that) but not "too" active. My love for bodybuilding and martial arts is done. I am convinced that if I was a 25 year old athlete they would say, "let's do the surgery tomorrow", but because I can still walk to the bathroom and have a bowel movement, that's good enough for my daily life. I guess I will seek a third opinion. Plus I don't like the visual deformity which is important to me.
Hi Alexis, So, I wouldn't call it age discrimination. Many surgical decisions are made around age because of tissue integrity and healing properties. I have never seen a short head biceps rupture. That would be super rare.
@@OrthoEvalPal The doctor did tell me it was rare not much precedent out there to compare it to. I think I just took it personally because I've been an athlete all my life, still believe I can go through everything and don't associate myself with my calendar age. Still will get a third opinion. Thank-You for taking the time to answer me, I appreciate it.
EDITED: To add content at the end
Alexis, Of course I can't say whether your particular case is age discrimination, BUT . . . I can testify with 100% assurance that age discrimination does, indeed, exist. I've been on the planet more than a few decades, and I currently have more than my share of physical challenges, most of them clearly visible to the naked eye, SO . . . I can also attest to - what I refer to as "quality discrimination". Many physicians - certainly not all - believe that it is their right (or duty, not sure which) to decide if the QUALITY of MY LIFE is worth the TIME, the EFFORT and the EXPENSE, that it would cost to improve it!
I ripped my bicep a little less than a week ago. I have the huge, misplaced bicep muscle, aka: "Popeye Bicep", and a humongous bruise just below it. I live with pain every day of my life, and have for the past 40 years. I take some heavy duty pain meds, so I know all about severe pain. I'm only saying all of this to make the point that, I KNOW PAIN; but . . . What I felt when it actually ripped, tore, separated, whatever it does . . . was so far beyond ANY pain that I have EVER experienced, that I don't believe the words to describe it have yet entered the dictionary! When it hit the first time, after screaming, loudly, I sat on my bed and cried like a baby, for at least 20 minutes! I DON'T CRY FOR PAIN! I may cry for many other reasons, but I don't cry for pain! BUT . . . I DID! I CRIED! I have NEVER felt anything like that in my entire life! I said the first time; I got that similar excruciating pain (mild, compared to the first one) several more times, until I learned which movements NOT to make, and which directions NOT to move my arm in! ONCE I got clear on which movements - and remembered NOT to make them, I still feel some degree of pain with EVERY movement, but it's tolerable! And I have to take into consideration that this shoulder (my left), and entire arm had issues before.
I won't try for repair, for reasons too detailed to get into here, but I would love to know some legitimate exercises, or methods of treatment, etc., that could be done at home! I have read so many varying suggestions on line. One says heat; the other says ice. Once says immobilize it, while the next one says to exercise, to the point of the pain. Some say wrap it with an ACE bandage, or some type of constriction sleeve, others say let it be free. Some say keep it in a sling. There are so many different opinions, even someone with decent deduction skills, can't make heads, nor tails, of it all! Some say that frequent massage will help it heal faster, by keeping more blood flow to it. I have no medical background, but that sounds logical, but then again, would I actually be doing harm? I don't know, and that's the problem. There are a couple of points that they all did appear to agree on . . . That the estimated healing time - assuming you follow directions (whatever those are) and do not re*injure it - is between 4 months, and one year!!! OUCH!! I definitely don't like hearing that it might be that long! And, another thing that they ALL seemed to agree on, is the benefit of regular Cortisone (I'm assuming shots).
I realize this video was posted a year ago, but if by chance the doctor is still checking these comments . . . I'd love to hear which side you favor in some of the above comparisons, Sir. Anything that would be helpful, and make this situation easier to deal with, would be so much appreciated, with eternal gratitude!
Blessings to ALL who are currently dealing with pain in your body. Just remember that 'NOTHING IS FORVER'. MY prayer for you is, that tomorrow will be a much better, and much brighter day, with NO PAIN! ❤
@@victoriaqueen5761 hey was repair even possible years after?
Same issue. I worry if i get into a physical altercation will my arm give out on me..
Not necessarily. There are other muscles helping out. You definitely will feel weak for a while.
In the US how much does this surgery cost?
How to self correct?
Good video
Thank you!
Great video. I have a similar injury. What was the recommendation of the orthopedic surgeon? Leave it or operate? If operate, what are the chances of complete restoration and how long is rehab, healing etc? Thx
Great questions! He had it repaired 4 weeks ago and doing great. I expect him to be back to full function in 3-4 months.
@@OrthoEvalPal thank you. My orthopedic doctor said not to operate and live with the deformity the rest of my life. He was actually let go by the practice I’ve heard and not surprised. I’m 58, take blood thinners, but generally quite active and healthy. It occurred about 9 months ago. Swung too hard with my driver during a golf tournament. Heard and felt pop! Terrible pain. Feels ok now, I’m golfing and swimming regularly with no pain in biceps.
At this point. The repair would be very difficult and set you back. I have a friend not much older than me(50 y/o) and he didn't have it repaired and functioning very well. You will be fine. Best of luck!
@@OrthoEvalPal What is the patients age? See comment above for reference.
@@alexisjigalin1006 70 years old. Did surgery. Awesome outcome. At 2 months was quite functional.
Wait so if he is healthy they just leave him with a useless bicep and a partially crippled arm? That sounds bad.
you probably dont care but does someone know a way to log back into an instagram account..?
I stupidly lost my account password. I would appreciate any help you can give me!
@Hezekiah Ricky instablaster =)
While I'm doing a low bar squat I got pain in both my arms and I can see some stretch marks at tendons and very mild pain around the bicep and I passed that hook test you said I can able to hook my tendons and my biceps look normal but when I'm trying to do any exercise that requires tendon involvement I'm getting pain will it recover if I take break from gym
did it get better?
Do u have to get surgery?
I was lifting about 300 Lbs and felt the snap in my lower bicep and felt the pain. To pronate ,supinate is very painful..bicep is still in the normal location... i pass the hook test. Im assuming its not ruptured. How do i proceed? I have a doc apt ..but its 3 weeks away. I did ice it for a few days.
3 weeks is a long time out. Maybe a walk-in clinic?
Awesome
I do bodybuilding/powerlifting and was pulling 765 pounds at gym last night and used overhand underhand grip also known as neutral and heard pull noise/sensation in my right bicep the hand where the grip was underhand. Some pain but by no means severe pain and this morning no bruising or anything. Usually with tear there is significant pain, bruising, and bicep looks like a tennis ball bunched up correct? I have none of those symptoms but I do have some pain and don’t have the strength or range of movement in my right arm I usually do. I do feel like the bicep did pull up from the elbow a little though but that could just be because it’s tight after the injury. I was icing it last night. I’m hoping mine is just a strain. What’s your opinion on it being tear or strain? Iv been lifting at a very high level for about 13 years and never had any serious inquiries.
Did you try the Hook test? You should seek an orthopedic consult with a Dr., PT or OT to clinically examine.
Mine the same. Waiting for physio now. Haven’t had the scan yet. Cannot do the hook test due to swelling
so what happened
@@asapdere1203 had it repaired and did awesome
did it get better and full strength?
Sir my vastus mediales muscle of knee is completely deattached from knee joint about 3 month ago I was unable to diagnose it that time I don't know at that time it was muscle tear also
Please tell me something about treatment
Can a completely deattached muscle dissolve in thigh in 3 months . when I apply force in the medical side there is no muscle here and I feel pain in my thigh.
What treatment is possible for it now. Please reply
You need to see an orthopedic surgeon soon!
Thanku sir
@@pinkybishnoi6150 what happened?
i tore my biceps tendon 24 hours ago when i jumped for a pull up i heard a pop with pain😢,I'm 39 years old, today I have a scan, i would like to ask you ,the operation strengthened the biceps enough for exercises ?thanks.
I am sorry to hear that. This is a surgery that people recover very well from. You will be able to get back to exercise but I would caution against heavy high risk biceps work. Good luck!
Thanks so much
Sir 🙏
My bicep also tear,so I can I recover...
Pls mention...
Any medicine,or else...
I have a friend who tore his and never had it repaired and is dong very well. Only surgery can re-attach it.
Thank you for
This just proves how much the brachilias is the strongest elbow flexor!!
Yup!!
so based off this test, Mine seems more intact, no health insurance, never got an mri, but when to doctors , they did hook test , they said still in tact but I know for fact my bicep is slightly up higher, i watched this thoroughly , did my own hook test . would this mean a partial tear? i did a couple rounds of beachbodys shaun t insanity on it last year, no pain but i think the injury was about 2 years ago, Im able to shave no problem and do warehouse work and lift pretty good , but still looks uneven asthetically. Should i get an mri anyways? and i hear a 3 week window of surgery after the injury, how about if my injury is in fact partial would it still have to be 3 week window after the injury in order to do it. only issue is there is some spasm if lifting a heavier object like up to past shoulder length when doing warehouse work but I'm able to do pullups no problem so i dont know what to do here
I had a distal bicep tear sparring. It hurt like hell. Slight bruising the next day but hook test was good. My bicep looked just a hair different. Dr said it was a partial tear and to get it fixed. So I had it repaired. He said it a better repair as a partial tear as the tendon didn’t atrophy. Nightmare recovery but worth it in the long run. Get an MRI bro, peace of mind and maybe a needed repair before it gets worse.
@@mixonmixon2723 i appreciate the reply Im literally getting an mri 2 days from now, now have health insurance so i went again this past week. I appreciate you commenting ✌
Would a partial tear still have a normal hook test? Would the tendon feel a little weaker or harder to hook? Can you hook a full rupture at all? Is there even a tendon there?
Plz can you tell me ..I had a distal bicep tendon I don't in april 2022 while curling weights i didn't hear pop but feel soreness and i after 2 days my elbow and bicep area get swollen and i was no bale to straighten my arm now i started gym I started curling weights and i didn't feel any pain or soreness but I feel like I have lost little bit of strength of my right hand while curling weights and like this case in video my right bicep has not moved up by even an 1 cm look identical to my left hand no change in shape and now I can feel my tendon of my right hand too so can you tell me whether my bicep tendon is attached or not or I need surgery
I have the same injury, I've had it for 4yrs now, is there anything I can do to get it fixed?
Good question. Been researching and reading lots of comments and yes it can still be repaired but the surgery is more involved.
Today after bicep curl i got it sir, im so panic, so what can you give me suggest sir ?
Why do you curl to the maximun extend of your arm mate?, that's not healthy, I know you did, otherwise you wouldn't have wrotten the comment, never go full extension.
Hi. I have torn my right biceps 💪. And it deformed similar to what is in the video. But when I do the hook test I can feel the tendon is exists and strong. I’ve all right with twisting things but the lifting weights power was decreased 30%. Can it be partly torn ?? The doctor think so too. But how can it be partly if the muscle is deformed??? Thanks for the help.
Could be a partial tear. Could also be a muscle fibre tear (although less likely)
I had a partial distal tear and the dr still suggested getting surgery. Nightmare recovery if you’re active but worth it.
After surgery is it possible to get the same injured again and tear it ?
Yes.
Please help I had this after a work out and it went away after I went to sleep is this normal ????
No. Ruptures don't fix themselves.
@@OrthoEvalPal do you have any idea what happened to me?
Awesome video
Thanks Michael! This guy is doing great!!
If I were to try do to strength training on my arm with the tear years later will I still gain muscle?
I don't think you will gain much because the underlying muscle does most of the work.
@@OrthoEvalPal underlying muscle meaning the bicep or other muscles?
@@HeyIntegrity the brachial is muscle beneath the biceps
How can recover it plz tel.
Surgery
WTF, did he just say you can opt to not get it repaired and just live with a tendon torn off your bone? Just live with the weakness since it doesn't cause pain? I would of thought something like this would be painful AF? That's just crazy a tendor is literally snapped off and in his bicep wound up like a tongue in a chameleon.
I usually encourage people to have the distal biceps repaired because it will limit you functionally more than a proximal biceps tear. I have seen some who refuse and they go on with life but have to modify their lifting with that arm.
I have that problem 3 years..is it possible repaire now?? .I'm 34 old...ty
not possible
It is possible. The surgery is more involved though. Don't give up if you feel strongly that you'd like it repaired. Good luck.
What would be wrong if the hook test works when my thumbs up but when my thumbs facing me I can’t hook
The biceps is placed on "slack" when the thumb is facing you so it will not be so prominent. If you are getting a good "hook" with the thumb up, that is good.
Ty
The “right time” passed…didn’t it? I read you have 2 weeks to repair or it becomes very difficult to re-attach?
I've seen from other sources that the preferred window is up to 3 weeks, 4-6 are questionable. After that, it is likely the tendon has retracted far enough that getting it to stretch back enough for re-attachment is extremely difficult, as well as some other complications. And at those extended time frames they may end up having to use cadaver tendons and other parts to do the repair, which is very expensive. Do not let any urgent care or Primary doctor blow you off just because you are underinsured or older. This injury is most common with middle aged men in their 40's and 50's (90%+ of cases), and sex/age discrimination towards men in the medical field is horrible. I clearly had a torn bicep and was blown off by the first urgent care dr I saw who did not do any actual physical exam or manipulation testing, no radiology, and said to simply ice it for 2 weeks before following up with my PCP,. I then got blown off again by my own primary doctor who slogged slowly through a very long process of doing his own xray (reportedly negative, but the xray isn't really the proper diagnostic tool for a soft tissue tear), then ordering a CT scan (which took a week and half), then when that came back positive for a an irregular deformity (described as possibly being a tear) waiting another 1-1/2 wks for an MRI referral to be approved, then again for another referral to be approved for an Orthopedic Dr. It took 7 weeks from beginning to end until I finally got to the Ortho dr, and by then it was too late. The medical system fails men miserably, and you have to be aggressive, assertive, and push hard to get fair treatment in time. God forbid you may be slightly overweight and clearly not a weight lifter or an athlete and they will totally blow you off in order to save their "insurance utilization rate" rating and keep it down at your expense so they get their annual bonuses from their medical group. They'll take care of the young adults or teenagers and younger out of principle, and take care of those with Medicare (because they can charge the government for everything and receive higher reimbursements then even those with insurance with no questions asked by the government), but if you are a middle-aged male they could care less. They'll tell you to just live with it.
I'm able to hold my arm from twisting inward....
“Live the rest of his days” 😂
💪
Bicep rupture still can train bicep?? Thks
i cut my bicep tendon, will i ever get strength back in my bicep
I don’t know bro, it’s 4am and I have no idea how I got here
@@Sam-bi8ce bruh💀
@@Sam-bi8ce Bruh ☠️
@@Sam-bi8ce bruh ☠️
Can your arm still recover all by it self?
NO
@@bayboy9254 well sheesh don't get mad calm down
@@nobleaches1379 did u get the same issue?
Iam also having same problem one bicep is short or we can say lifted up then the other what's the solution of this problem bcoz my that lifted bicep didn't involve while gym exercise I tried many times to exercise more on that bicep but nothing happen yet it's not growing please help
There is a difference between it not growing and tearing it.
Am twitching because i dont want this to happen to me
This is 90% of the older men in my family. Tear a bicep, finish the job, go home and work on the car until the wife forces them to go.
I tore both my biceps years ago. I want my guns back is that even possible
If they're totally detached, then it's too late. These tendons have to be surgically repaired very quickly or they become useless
Have good health insurance and go immediately to the hospital after an injury. Otherwise...
💪💪💪🤷♂️😴😴😴🙆♂️
Poor old bicep out of order
5/17/2021
At the beginning of your video, you need to confess that you are not a medical doctor, nurse practitioner or any other type of healthcare provider, and that you are a PT. Also, leave to a medical doctor the diagnosing an injury.
I don't know what license, title or position he holds, but I do know that a physical therapist IS a healthcare provider, and truth be told, they know more about the muscles and bones of the body, that many of the doctors do, especially those who's practice is non-orthopedic. That's why so many doctors defer to their knowledge. That is their specialty.
How/when did you learn of all the things that you say he's not, and decide to belittle the thing that you say he is? Just curious. 💞
And just from curiosity sake, I checked. In the description section, below the video, he list his NAME, immediately followed by PT, at least twice that I saw, plus it's the same in the video header!
He has nothing to "confess", but you might!